Tendência de hospitalizações por diabetes mellitus: implicações para o cuidado em saúde

Abstract

Objective: To analyze the trend in hospitalizations for diabetes mellitus in a period of 15 years, according to gender and age group. Methods: Descriptive study, with time series data from hospitalization for diabetes mellitus in individuals of both genders, aged 20 or more, data obtained in the information system of the unified health system and analyzed according to descriptive statistics and polynomial regression. Results: A total of 117,717 hospitalizations were registered, 61.6% were women. The general trend was stable, although it has been increasing for men (r²=0.83; p<0.001) and stable for women. Age group 50 -59 and older than 80 years (r²=0.78; p<0.001 for both) showed increasing trend for men, while for all ages it was stable or it was declining for women. Conclusion: The trend in hospitalization for diabetes mellitus stratified by gender and age was increasing just for men in the age group of 50 -59 years and older than 80 years. ResumoObjetivo: Analisar a tendência de hospitalizações por diabetes mellitus em um período de 15 anos, segundo sexo e faixa etária. Métodos: Estudo descritivo, de séries temporais com dados de hospitalização por diabetes mellitus em indivíduos de ambos os sexos, com 20 ou mais anos, obtidos no sistema de informações do sistema único de saúde e analisados segundo estatística descritiva e regressão polinomial. Resultados: Foram registradas 117.717 hospitalizações, sendo 61,6% de mulheres. A tendência geral foi de estabilidade, embora tenha sido crescente para os homens (r²=0,83; p<0,001) e estável para mulheres. As faixas etárias de 50 a 59 e maiores de 80 anos (r²=0,78; p<0,001 ambos) apresentaram tendência crescente para homens, enquanto para todas as idades houve estabilidade ou em declínio para mulheres. Conclusão: A tendência de hospitalização por diabetes mellitus estratificada por sexo e idade, foi crescente apenas para homens entre 50 a 59 anos e maiores de 80 anos.

Perfil epidemiológico do diabetes mellitus em um estado do nordeste brasileiro Epidemiological profile of Diabetes Mellitus in a northeastern brazilian state

“…This fact directly affects the quality of life and generates high costs to health services. 13 It is known that diabetic complications are composed of macrovascular (coronary artery disease, cerebrovascular disease and peripheral vascular disease) and microvascular (retinopathy, nephropathy and neuropathy).…”

“…Thus, it is necessary that health professionals develop promotion and health prevention actions, offering people living with diabetes, information about the disease, warning about the complications of diabetes, and also selfcare actions related primarily to the adoption of healthier lifestyles in order to provide a more appropriated self-care. 1,13 Educational practices in health in this context recognize the importance of new strategies that prioritize the autonomy of individuals with DM and conscious decision-making managers of their own health 3 , in which the attention to DM should return for the provision of clinical and educational interventions informed by scientific evidence. 17 Health education, offered by primary care services is one strategy that helps to decrease the high prevalence of complications in people with diabetes that get worse due to the lack of self-care realization, especially in aspects related to proper nutrition, physical exercise and proper use of antidiabetic medication, when prescribed.…”

Evaluation, intervention, and follow-up of patients with diabetes in a primary health care setting in Brazil: the importance of a specialized mobile consultancy

“…We should emphasize that hospitalizations commonly reflect an inadequate DM control. In this sense, a study carried out in the state of Paraná showed an increasing tendency of hospitalization due to DM in men aged 50–59 years and in those older than 80 years [34]. …”

Hospitalizações Por Diabetes Mellitus Em Adultos E Relação Com Expansão Da Atenção Primária No Paraná

“…Dessa forma, acredita-se que haja o predomínio das mulheres na utilização de serviços de saúde, o que corrobora o resultado de um ensaio clínico randomizado realizado, cujas mulheres apresentaram 1.4 vezes mais chance de utilizarem o serviço de saúde quando comparadas com os homens 20 .…”